Peterson, Stephanie Leigh
Peterson, Stephanie Leigh is an sole proprietor health care provider with primary practice located at 1029 Powderhorn Rd , Simpsonville SC 29681-3379. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Peterson, Stephanie Leigh can be contacted via phone (843) 670-7643.Contact Information
Primary practice address
1029 Powderhorn Rd
Simpsonville SC 29681-3379
Phone: (843) 670-7643
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 3689 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 17596 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 5988 | South Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 9750 | South Carolina |
Profile Details
| NPI number | 1821514860 |
|---|---|
| LBN Legal business name | Peterson, Stephanie Leigh |
| Credentials | DPT, OTR, ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2017 |
| Last updated | Nov 9th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821514860 | NPPES |
| South Carolina | Other | 5988 | OCCUPATIONAL THERAPY LICENSE |
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